| Payment ID | 48470 |
|---|---|
| Date Created | 12/13/23 2:20 pm |
| Created By | Gloria Jimenez |
| Service Request | 46720 |
| Application ID | 39105 |
| Authorization Number | 223029 |
| Applicant Information | |
| Name | Jameka Keaton |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171102331 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | Robert Stroud |
| Contact Name | Robert Stroud |
| Contact Email | Email hidden; Javascript is required. |
| Address | 2926 Dutton Ave Waco, Texas 76711 Map It |
| Phone | (254) 366-7663 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $65.00 |
| Bank Fees | No |
| Receipt Amount | $65.00 |
| Receipt Date | 12/12/2023 |
| Comments | application fee paid to Robert Stroud |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 12/13/2023 |
